Diagnosing & Treating Aggressive Energy
Recently, there has been an article, and subsequent discussion, about the subject of Aggressive Energy (AKA "AE"), including ways to detect its presence and an alternative method of treating it.
New Opportunities for DCs
For decades, the model chiropractic practice has been the single-doctor practice. Recent surveys have found that approximately two-thirds of U.S. doctors of chiropractic still practice this way, with another 20 percent practicing in multiple-chiropractor practices.
Prompting Memory: How to Stimulate Cognition
Recently I gave a talk titled, The Art of Memoir – Tapping the Past to Sharpen the Present at a senior lunch event in Austin, Texas.
News in Brief
Parker University Launches New Open-Access Research Journal for Chiropractic; Western States, Cleveland-KC Name New Deans of Chiropractic Colleges; Sherman College Goes Tobacco-Free; Life University Wins 11 Awards.
State by State: Chiropractic Leads Changes in Health Care
Monumental legislative bills in support of the chiropractic profession were passed recently in Washington, West Virginia and Oregon. Here is a review of this important legislation, state by state...
Bastyr University: On the Front Lines of the Pain Epidemic
At University of Washington's Harborview Medical Center, the Seattle region's only Level I Trauma and Burn Center, the demands for in-patient care are dramatically different from a private clinic environment.
Spring Allergies & The Spleen: Looking at Pattern Differentiation
As the season of Spring fades away and we shift into the warm summer months, many patients suffer from chronic allergies. This is by far one of the most common issues I see in the clinic as well as often mistreated and misdiagnosed.
Paving the Way to Integrative Health & Wellness
Jared Polis (D-Colorado) and Mike Coffman (R-Colorado) launched the integrative health and wellness (IHW) caucus in October, 2018.
Chiropractic's Next Frontier: Adjusting the Microbiome
Restoring a healthy microbiome to help treat disease may be the next frontier in chiropractic offices around the country.
Practice Pearls: There's More to ROM Than Meets the Eye
As part of my neuromusculoskeletal examination, I perform range-of-motion (ROM) evaluations. I can "eyeball" the range and measure, I can use a goniometer and measure, I can use my phone app and measure, or I can use various other instruments to help determine degrees of motion.
It's Time for a Functional Approach to Chronic Illness
It seems one of the more modern buzzwords is chronic, referring to diseases – that is to say, "ongoing and incurable." However, we can take a different perspective and recognize that, although the body may have been traumatized and injured, healing should always be viewed in the realm of possibility.
First World Spine Care Graduate: Hildah Molate
Hildah Molate, the first World Spine Care (WSC) scholarship student, graduated from Palmer College of Chiropractic earlier this year and is now working at the WSC community spine clinic in Shoshong, Botswana.
Prevention: Stop Recurrent Urinary Tract Infections
The recurrent urinary tract infection (UTI) is one of those nuisance conditions that can play havoc with quality of life, and this particular infection is much more common than most people realize.
A Novel Way to Prevent Elderly Falls: Toe Strength
In any given year, nearly 40 percent of senior citizens ages 70 and older will fall at least once. Each fall significantly increases the risk of not only sprains, strains and contusions, but also fractures.
Regenerative Medicine: How to Do It by the Books
The "lay of the land" for regenerative therapies, including but certainly not limited to adult stem-cell treatments, seems to change almost daily.
Better With Chiropractic
While chiropractic care is receiving high levels of exposure these days, most pain patients who consult with a health provider still do so with their primary-care MD. And of course, that means in most cases, they're receiving standard medical care, not chiropractic.
The Acupuncturist and the Opioid Crisis: Conquering Pain & Addiction in the U.S.
The current opioid epidemic dominates the discussion among national health leaders, recovery advocates and families nationwide. Opioids include heroin as well as prescription pain relievers such as oxycodone, hydrocodone, codeine, morphine, fentanyl, and others.
Dropping Insurance: 4 Steps
My office manager just got off the phone with the secretary of a long-standing patient. I have treated this woman and 10 members of her family for more than a decade. She has, as have all of my patients, paid my fee at the time of service since I dropped insurance in 1997.
Reducing Allostatic Load & Stress Through Heightened Awareness
Your contemporary mental health and psychotherapy colleagues may often approach the treatment of allostatic load as a mental health condition and use prescription psycho-pharmaceutical medicine to affect general and specific central nervous system (CNS) pathways and brain neuro-chemistry medicine to alleviate the associated symptoms.
Multi-Dimensional Acupuncture: 3D, 4D & 5D
Maggie is an intuitive healer and workshop leader who I met on a recent hike. While we were talking she told me how she had to take it easy because of her knees. She said that her doctor told her that she has the early signs of arthritis.
Transforming Exam Delivery
The NBCE Board of Directors has never wavered on its promise to deliver an excellent, on-campus computerized testing experience to students. Likewise, there has never been a compromise to the delivery of fair, valid and legally defensible exams.
Catch the Workplace Wellness Wave
Do you offer workplace wellness services to local businesses? If not, you might want to consider this lucrative channel for expanding your practice. Workplace wellness programs and wellness-related benefits have grown in popularity over the past several decades.
NBCE to Reinstitute Computer-Based Exams
The National Board of Chiropractic Examiners (NBCE) has announced it will reinstate computer-based testing in January 2019 courtesy of a partnership with testing and assessment solutions provider Prometric.
Is Primary Spine Care the Answer for Chiropractic?
Recently, we sat down with Mark Studin, DC, FASBE(C), DAAPM, DAAMLP, to discuss the state of chiropractic and why primary spine care may hold the key to chiropractic's future. Read what he had to share in this exclusive interview.
Cyber Threat Checklist: Defend Your Business With These 10 Steps
Living in an internet connected society brings many conveniences and benefits. The power of the internet to connect us with customers, store data, and find information has opened the door for many small business owners to grow and flourish.
Acupuncture's Standard of Care
Both a concern and critique of acupuncture, frequently espoused by the bio-medical community is, "there is no standard of care in acupuncture." The following is why I believe this statement is disingenuous at best.
Old Trend, New Risks: Heavy Weight Training
With more opportunities to exercise than ever, a greater selection of exercise options, and the subsequent opinions supporting and challenging their merits, it's easy to be confused as to which approach is best.
Missed Causes of LBP: It's the Syndrome, Not the Subluxation
When I read the chart notes of other chiropractors, I am usually disappointed. They list what vertebrae are fixated or misaligned. They may describe the involved fascia and muscles.
Official NCCAOM Practice Tests
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) is excited to announce the launch of the new NCCAOM Exam Preparation Center.
July, 2014, Vol. 14, Issue 07
The Evolution of Releasing the Core Distortion
By Don McCann, MA, LMT, LMHC, CSETT
All my previous articles in Massage Today have included information about the core distortion found in the body. I want to explain how the term "core distortion" evolved and why other medical professionals have not described it in these terms.There is evidence that it exists and a process of discovery that led to effective treatment of a client's musculoskeletal pain by releasing this functional structural core distortion pattern.
It is understood in the medical establishment that 90% of musculoskeletal pain comes from distortions in the structure. In other words, structural imbalance creates pain and dysfunction and structural balance creates pain free function. In 39 years of practicing, I evaluated the structural alignment of my clients from a standing posture. I then used both applied and functional kinesiology to further evaluate and verify the standing postural observations. What emerged was a consistent pattern from the head to the feet that showed a spiraling twist going around and through the body. What became apparent as I viewed the body from the anterior, posterior and both sides, was the consistent anterior rotation of the left ilium and posterior rotation of the right ilium. This was verified 100% using functional and applied kinesiology. I have not found any terminology describing this full body distortion in any literature or in research, yet almost everyone recognizes major parts of it. Consequently, to help clarify the concept I chose to name it the "core distortion" since it involved the legs, pelvis, spine, thorax and cranium – the core of every client.
The Whole Body
Some of the professionals who have read the articles about the core distortion have questioned why the medical establishment has not recognized it. The fact is they do recognize portions of it, but have not looked at the whole body in its standing posture. In reviewing physical medicine and chiropractic research, there has been confusion about what exactly the ilium/sacrum relationships actually are. From my reading of their research, it appears that the discrepancies about the rotations of the iliums, the resulting long leg/short leg relationships and the tipping of the sacrum are more a matter of description and interpretation than disagreement. An example of this is some professionals view the anteriorly rotated ilium as producing or being produced by the short leg, where others view the placement of the acetabulum which is lower due to the anterior rotation, as creating a functional longer leg. There are many other examples where people have examined the same structure and drawn different conclusions based on their point of view and their interpretations of what the rotated iliums produce.
Functional kinesiology has been 100% accurate in my assessment of the core distortion in the bodies of my clients and has been very useful in the development of my protocols to restore weight bearing support and minimize structural distortions leading to long-term rehabilitation from pain and return to function. I have mentioned in previous articles that the core distortion is observable in 16-week-old fetuses. Unfortunately, there has not been a radiological study to either confirm or disprove this observation. However, if we look in Essentials of Skeletal Radiology, Vol. 1, 2nd ed. by Dr. Terry R.Yochum and Dr. Lindsay J. Rowe (the text book used in many medical, osteopathic and chiropractic schools), we find on pages 175-176 recorded measurements of normal acetabula angles of infants 0 to 3 months and 3 months to one year that show an average of 20 degrees difference between the right and left ilium with the left being anteriorly rotated and the right being posteriorly rotated. On page 176 in table 227, normal iliac angles are charted in babies from 0 to 3 months and 3 to 12 months, again absolutely verifying the difference in the angles of the iliums to be significant in normal children congruent with the core distortion. Thus, it is clear that normal children are born in the core distortion creating imbalances and weakness throughout the body. Injuries, stresses and developmental patterns that occur throughout their lives result in further collapse creating musculoskeletal problems.
A Different Paradigm
Thirty-nine years ago, I started practicing a myofascial restructuring therapy based on Structural Integration. I was quickly frustrated when my clients came in with pains and dysfunction in areas that weren't the focus of the first four to five sessions. Often, clients would feel that I was not paying attention to their area of complaint and would not want to continue their sessions. I began looking for a different paradigm that would incorporate the deep myofascial body restructuring techniques, but would allow me to bring the initial area of complaint into balance first, and then bring the rest of the body into balance to support the changes in the area of client complaint. To do this, I viewed the core distortion as it related to the entire structure as well as to the client's area of complaint, and incorporated applied and functional kinesiology for verification with great success.
Now, I could be confident that I understood how the area of pain and dysfunction was related to the core distortion and design a myofascial release protocol that would release the core distortion in this area. I also discovered that I could work not only the surface layers of the fascia, but also the deepest layers in the initial sessions by using slower directed myofascial unwinding strokes, followed by more specific individual myofascial fiber releases at deeper levels in the same session. This was stepping outside the concept of working just the surface layers of the fascia first and then the deeper layers in subsequent sessions. Because I was working within the parameters of releasing the core distortion, many of the changes were able to be maintained and actually affected other areas of the core distortion that were not actually being treated. However, if the area of complaint was in the upper body I found that within the first three sessions it was necessary to work with the soft tissue affecting the pelvis to start releasing the anterior/posterior ilium and sacrum rotations, even if the pelvis and low back were not an area of complaint. So, not only was I treating the area of client complaint early in the sessions even at deep levels, I was also releasing the sacrum/ilium rotation and imbalance in the early sessions which was key for longer term results. Clients immediately began experiencing relief of their symptoms and structural improvements. However, like the chiropractors and physical therapists, bringing the sacrum/ilium relationship into long term weight bearing support was seldom completely achieved.
The big breakthrough occurred when the relationship of the cranial motion and the rotation of the iliums was fully understood. The wings of the sphenoid relate directly to the ASIS of the iliums with the same distortion pattern as the rotation of the iliums. The ridge of the occiput relates directly to the PSIS of the iliums with the same distortion pattern as the rotation of the iliums. Thus when the torsion was released from the cranial motion, the rotation of the iliums was diminished resulting in weight bearing support of the sacrum and the leg length was equalized. The hip complex would now provide long-term weight bearing support and balance. With the sacrum more level, there was support for the spine and thoracic ribcage. Now, whenever a soft tissue myofascial protocol was applied after the cranial/structural correction the changes would be supported long term.
Another benefit also showed up as the body's alignment improved throughout the entire structure. Muscular weakness that had been the effect of the imbalance was immediately strengthened. The end result was long term rehabilitation from pain and dysfunction and increased muscle strength and flexibility, joint stability and increased physical potential in sports and life in general. Many serious joint and spine issues were so dramatically improved that surgery was no longer necessary. This is the answer for long term rehabilitation of 90% of musculoskeletal pain and a great tool for massage therapists to maximize their healing potential.
Click here for more information about Don McCann, MA, LMT, LMHC, CSETT.
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